重复肾、重复输尿管畸形的CT尿路成像诊断及与B超、静脉泌尿道造影的对比  

CTU diagnosis of 85 cases with repeat kidney and ureter duplication and its comparison with B-mode ultrasonography and IVU

作　　者：陈善锡[1] 高源统[1] 项小婵[1] 罗敏[1] 李阳[1] 王晓阳[1] 

机构地区：[1]温州医科大学附属第三医院影像科,浙江省瑞安市325200

出　　处：《实用医学杂志》2014年第3期397-399,共3页The Journal of Practical Medicine

基　　金：温州市2012年度医药卫生科学研究项目(编号:2012B025);温州科技局资助项目(编号:Y20110266)

摘　　要：目的:探讨B超、静脉泌尿道造影(IVU)和CT尿路成像术(CTU)在重复肾、重复输尿管畸形诊断中的应用价值。方法:对我院85例重复肾、重复输尿管畸形病例的B超、IVU及CTU检查结果进行回顾性分析。结果:B超、IVU和CTU对重复肾、重复输尿管畸形的诊断符合率分别为44.7%、60.0%、100%。CTU检查及影像后处理能够清晰显示重复肾、重复输尿管扩张或梗阻部位和程度。结论:CTU检查及影像后处理诊断重复肾、重复输尿管畸形的正确率高于B超和IVU,能够准确做出诊断结果,可指导临床术式选择。Objective To investigate the application values of B-mode ultrasonography, IVU and spiral CT urography （CTU） in duplication of kidney and ureter. Methods Data of the results from B-mode ultrasonography, IVU and spiral CTU on 85 cases with duplication of renal pelvis and ureter were retrospectively analyzed. Results The diagnostic accordance rates of B-mode ultrasouography, IVU and spiral CTU for duplication of kidney and ureter were 44.7%, 60.0% and 100%, respectively. CTU examination and image post- processing eould clearly display the locations and degrees of dilatation or obstruction in duplication of kidney and ureter, and could also display the ectopie location and assess renal function. Conclusion The diagnostic accuracy rate of CTU examination and image post-processing for duplication of kidney and ureter is higher than those of B-mode ultrasonography and IVU.

关 键 词：泌尿生殖系统畸形 B超 IVU 尿路成像术 重复肾 重复输尿管畸形 

分 类 号：R691.1[医药卫生—泌尿科学]